在早产婴儿早期干预计划的5至6岁神经发育结果
Camilla Fontana1,2, Livia Provitera2, Chiara Bonfanti3
1Department of Clinical Sciences and Community Health, Dipartimento Di Eccellenza 2023-2027, University of Milan, Milan, Italy.
Scientific reports
|December 2, 2025
概括
早期干预计划显著改善了早产婴儿的长期神经发育结果. 这些计划,包括家长培训,显示了持续的好处,直到学龄,突出了他们对有风险的儿童的重要性.
科学领域:
- 新生儿护理和发育儿科.
- 表观遗传学和发育生物学.
背景情况:
- 过早分娩与长期的神经发育挑战有关.
- 早期干预 (EI) 计划旨在缓解这些问题,但长期影响需要进一步调查.
- LINE1促进物甲基化是发展结果的潜在表观遗传标记物.
研究的目的:
- 为了评估早产婴儿在NICU逗留期间参加基于父母的EI计划的长期神经发育结果.
- 调查与EI相关的LINE1促进体甲基化水平在学龄早期.
- 评估EI对早产婴儿的持续疗效.
主要方法:
- 一个随机对照试验 (RCT) 的二次分析,涉及早产婴儿 (25-29周妊娠年龄).
- 婴儿被随机分配到标准护理 (SC) 或早期干预 (EI),包括父母培训和多感官体验.
- 神经发育评估 (格里菲斯分数) 和LINE1促进体甲基化分析 (口腔抹布) 在5-6岁时进行.
主要成果:
- 36名婴儿 (21名EI,15名SC) 完成了随访.
- 在EI儿童中,一般发育指数得分显著更高 (90.4比82.3,p=0.003).
- 纵向分析表明,随着时间的推移,EI的益处是持续的和不同的;两组之间没有发现LINE1甲基化显著差异.
结论:
- 基于家长的早期干预计划表明,对早产婴儿的神经发育有显著和持续的长期益处.
- 这些发现支持对EI的实施,以改善早产儿的发育轨迹.
- 需要进一步的研究来探索潜在的机制和优化干预策略.
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